| NPI | 1043484249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LEE SCHNEIDER Office Manager 636-447-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 11038) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |